Manager - Pediatric Inpatient Care Management

OU Health•Oklahoma City, OK

7d•Onsite

About The Position

The Care Management Manager leads the Care Management department and oversees delivery of high-quality, patient-centered care coordination services. The role provides direction for department operations, including staffing, assignments, and problem solving, and supports a collaborative environment that promotes staff development. The manager partners with healthcare providers, interdisciplinary teams, external agencies, and other stakeholders to improve patient outcomes and use resources efficiently. The position monitors care processes, ensures compliance with healthcare regulations and accreditation requirements, and conducts audits and reviews of documentation standards and quality metrics. It leads performance improvement initiatives, analyzes care coordination data and metrics with the Director, and collaborates on patient-centered care plans. The manager also provides staff education and training on compliance and care management best practices. Other duties may be assigned.

Requirements

Bachelor’s degree in nursing or a Master of Social Work.
Minimum of 3 years of care coordination experience.
3–5 years of progressive supervisory or leadership experience.
Current Registered Nurse license issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC) license; alternatively, a current Clinical Social Worker license (LCSW) from the Oklahoma State Board of Licensed Social Workers.
Current BLS certification from the American Heart Association.
Demonstrated ability to lead and motivate a diverse team of healthcare professionals.
Proficiency in utilizing electronic health records (EHR).
Knowledge of clinical care management and social work programs in inpatient or ambulatory settings, healthcare operations, healthcare finance, health technology systems, and healthcare innovation.
Excellent communication, interpersonal, and leadership skills.
Commitment to continuous learning, quality improvement, and patient-centered care.
Proven management abilities with demonstrated outcome results and ability to change team culture.
Ability to build consensus, facilitate change, and demonstrate execution and delivery.
Proficiency in performance measurement and quality improvement methodologies.

Nice To Haves

Certification in Case Management, such as CCM.

Responsibilities

Provide direction and leadership to the Care Management department in alignment with departmental goals and objectives.
Provide primary input into daily department operations, including staffing, assignments, and problem solving.
Promote a collaborative and supportive work environment that encourages professional growth and development.
Collaborate with healthcare providers, interdisciplinary teams, and external agencies to optimize patient outcomes and resource utilization.
Monitor and evaluate patient care processes, identify opportunities for improvement, and implement evidence-based interventions.
Ensure compliance with healthcare regulations, standards, and accreditation requirements related to care management.
Conduct audits and reviews of documentation standards and quality metrics.
Educate and train staff on compliance-related issues and care management best practices.
Lead performance improvement initiatives to enhance quality, safety, and efficiency of care management services.
Work with the Director to analyze data and metrics and identify trends, opportunities, and challenges in care coordination.
Build and maintain effective relationships with staff and internal and external stakeholders, including physicians, nurses, social workers, payers, and community organizations.
Collaborate with interdisciplinary teams to develop and implement patient-centered care plans tailored to individual patients’ needs and preferences.
Perform other duties as assigned.